That sudden sting, the “I’ve just been to the bathroom five minutes ago” urgency, or the nagging feeling that something’s not right – most men immediately think urinary tract infection (UTI).
UTIs happen, sure, but if the symptoms keep coming back – or never fully go away – it’s worth digging a little deeper.
In 2026, urology isn’t just about prescribing antibiotics anymore. There’s a growing focus on pinpointing the real cause of urinary distress.
When It’s a UTI: The Classic Signs
A UTI occurs when bacteria (usually E. coli) enter the urethra and start multiplying.
Watch for:
- Cloudy or strong-smelling urine
- Burning sensation during urination
- Pelvic discomfort
Red flags: Fever, chills, or lower back pain may mean the infection has reached your kidneys. Seek medical attention immediately.
When It’s “Something Else”
If tests keep coming back negative but you still feel miserable, one of these conditions could be behind your symptoms:
- Overactive Bladder (OAB)
Not an infection—just a communication hiccup between your bladder and brain. You feel sudden urges and frequent trips to the bathroom. Unlike UTIs, pain and burning are rare. - Interstitial Cystitis (IC) / Bladder Pain Syndrome
The “great mimicker” of UTIs. Chronic bladder inflammation causes pressure, pain, and urgency, but without bacteria. Triggers often include caffeine, alcohol, spicy foods, or stress. - Prostate-Related Issues
For men, “UTI symptoms” can actually be caused by prostate problems like Benign Prostatic Hyperplasia (BPH) or Prostatitis. An enlarged prostate squeezes the urethra, making it hard to fully empty the bladder—and that stagnant urine can spark an infection. - Pelvic Floor Dysfunction
Tight or overactive pelvic muscles can mimic the stinging and pressure of an infection. Physical therapy can often fix this.
Modern Solutions in 2026
Gone are the days of “take another round of antibiotics.” New approaches include:
- Advanced PCR Testing: DNA-based tests identify bacteria (or the absence of them) within hours.
- Neuromodulation: Tiny devices can calm bladder nerves for chronic urgency—no daily pills required.
Bottom Line
If you’re constantly reaching for cranberry juice or OTC remedies, your body is sending a clear message: it’s time for a proper evaluation. Recurring urinary symptoms aren’t just inconvenient – they can indicate an underlying condition. A urologist can help figure out if it’s a simple infection or something more chronic, and get you back to life without constantly checking the nearest restroom.
Dr Arianayagam is a highly skilled urological surgeon who treats cancers and other disorders of the urinary system.
After training in NSW further training in Urologic Oncology, he was undertaken at the University of Miami Miller School of Medicine. He completed a two-year fellowship accredited by the Society of Urologic Oncology.
If you have any questions or would like to book an appointment, please feel free to contact or call Dr Arianayagam’s office on 1300 307 990 and his staff will be able to assist.
